Mina míasrɔ̃ nu tso Rectal Prolapse kple Amekoko (Rectopexy) ŋu .

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe akɔta le kpekpem le nugododeƒe yiyi vɔ megbea, alo abe ɖe nane do enea? Togbɔ be nyati sia nye ŋukpe kple ŋukpe vie be woaƒo nu tso eŋu hã la, le nyateƒe me la, ate ŋu anye lãmesẽkuxi si gblẽa nu le ame geɖe ŋu vaseɖe afi aɖe. Míeyɔa nɔnɔme sia be ‘Rectal Prolapse’. Eyata, naneke meli si ŋu woavɔ̃ ɖo alo akpe ŋu o. Mina míaƒo nu tso eŋu gaglãa.

Nukae Nye Rectal Prolapse?

Kpuie ko la, esiae nye esime wò dɔgbo gã la ƒe akpa mamlɛtɔ, si nye akpa si do ƒome kple wò dɔgbo, dona to wò dɔgbo me. Bu eŋu abe didiƒekpɔmɔ̃ ƒe akpa siwo le gegem ɖe eme hele dodom ene. Esia ate ŋu adzɔ ne èle tsitsim, le fufɔɣi alo le vidzidzi megbe, alo le afɔku alo dɔléle aɖe ta.

Amekawoe ate ŋu ato nɔnɔme sia me wu?

Esia mebɔ boo o. Edzea amewo ƒe alafa memamã sue aɖe dzi, abe 0.5% ene, eye ate ŋu adze amesiame si xɔ ƒe ɖesiaɖe dzi, gake ebɔ ɖe nyɔnu siwo xɔ wu ƒe 50 me wu .

Ne ame tsitsiwo va dze nɔnɔme sia dzi la, womate ŋu adae amekoko manɔmee o. Gake ne edzɔ ɖe ɖevi suewo dzi la, nɔnɔmea toa vovo vie. Le ɖeviwo gome la, zi geɖe la, nusiwo abe dɔgbo ƒe ʋuʋu atraɖii, aɖuɖɔtoe, alo dɔlékui siwo tsoa dɔlékuiwo gbɔe wòdzɔna ɖo. Ne woda nusi gbɔ wòtso nyuie la, lãmeka siwo léa dɔgboa ɖe teƒea la gasẽna ɖe edzi eye nɔnɔmea haya. Eyata ƒã hafi wòhiã be woawɔ dɔ na ɖeviwo ɖe esia ta .

Amekoko (Rectopexy) ƒomevi kawoe li?

Amekoko ƒomevi vevi eve li woatsɔ aɖɔ dɔgbo ƒe gege ɖo. Wò ɖɔkta atia dɔdamɔnu si sɔ na wò wu le wò lãmesẽ bliboa kple alesi gbegbe wò dɔgbo ƒe gege le lãme na wòe nu.

Ƒodo ƒe Dɔwɔnawo

Wowɔa amekoko siawo ɣesiaɣi le atike si naa alɔ̃dɔdɔ ame katã me .

• Amekoko le gaglãgbe (Abdominal rectopexy): Ðɔkta la tsoa wò ƒodo me, hea dɔgboa ƒe akpa si do ɖe gota la ɖe megbe, eye wòtsɔa ka siwo nɔa anyi ɖaa blanɛ ɖe akɔta ƒe megbegli ŋu. Ɣeaɖewoɣi la, woate ŋu azã lãgbalẽ.
• Laparoscopic rectopexy: Wowɔa amekoko sia to lãɖeɖe sue ʋɛ aɖewo wɔwɔ le ƒodoa me eye wotsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ (laparoscope) kple dɔwɔnuwo le dea ƒodoa me to wo me.
• Robotic rectopexy: Esia sɔ kple amekoko to dɔgbo me, gake ɖɔktaa wɔa dɔa to robot ƒe kpekpeɖeŋu me.

Ɣeaɖewoɣi la, ne dɔgbo sesẽ aɖe le ŋuwò la, woate ŋu awɔ colectomy (dɔgbo ƒe akpa aɖe ɖeɖeɖa) le ɣeyiɣi ɖeka me kple amekoko sia.

Perineal Dɔwɔnawo

Woate ŋu awɔ amekoko siawo le atike si naa alɔ̃dɔdɔ ame katã me alo kple atike si wotsɔna ƒoa alɔ̃e.

• Altemeier ƒe dɔwɔwɔ: Le dɔ sia wɔwɔ me la, woɖea dɔgboa ƒe akpa si do ɖe gota la doa goe le aɖuɖɔtoea me, lãnɛ, eye woɖenɛ ɖa. Emegbe woblaa dɔgboa ƒe akpa eve susɔeawo ɖe wo nɔewo ŋu.
• Delorme ƒe dɔwɔwɔ: Wowɔa esia na nu suesuesue siwo dona ɖe gota. Le afisia la, dɔgboa ƒe nutsyɔnu koe woɖena ɖa, woblaa lãmekawo, eye wogbugbɔa nusi wotsɔ blaa dɔgboa me la lɔ̃na ɖe dɔgboa me. Dɔgboa ƒe ʋeʋẽ sia xea mɔ na dɔgboa medona o le gli la ta.

Viɖe kawoe le amekoko me kple kuxi siwo ate ŋu ado tso eme?

Ne dɔléle sia dze ame tsitsi aɖe dzi la, amekoko koe nye egbɔkpɔnu. Ne womewɔ dɔ na amea o la, nusiwo gbɔna ate ŋu adzɔ:

• Dɔmeɖui sesẽ
• Aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie
• Dɔgboa ƒe akpa si do go la tsia, ʋu ƒe sisi nu tsona eye akpa ma kuna (Gangrene) .
• Aɖuɖɔtoe me abi kple ʋusɔgbɔdɔ si dona tso eme

Abe amekoko ɖesiaɖe ene la, afɔkuwo hã li. Le kpɔɖeŋu me, ʋudodo, ʋu ƒe sisi, kple abi. Togbɔ be afɔku si lolo vie le ƒodo ƒe dɔwɔwɔ na ame me hã la, afɔku si le eme be wòagadzɔ ake la le sue wu .

Kuxi tɔxɛ siwo ate ŋu ado mo ɖa le amekoko megbee nye:

• Mɔ̃ siwo ƒo xlã aɖuɖɔtoe ƒe wɔwɔme si mesɔ o (Anal fistulas) .
• Anastomotic ƒe tsi si le dodom
• Dɔgbo ƒe xexe
• Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie
• Dɔmeɖui gadzina ɖe edzi

Ɣeyiɣi didi kae wòxɔna hafi hayana eye nukae wòle be mawɔ le amekokoa megbe?

Le amekoko vɔ megbe la, ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo alo kwasiɖa ɖeka. Ate ŋu axɔ kwasiɖa geɖe hafi nàgava nɔ nɔnɔme nyui me ne èyi aƒeme. Ate ŋu axɔ ɣleti geɖe gɔ̃ hã hafi wò dɔgbo natrɔ ava nɔ abe tsã ene.

Le hayahayaɣi la, ele be nàlé be na nu siawo etɔxɛe:

• Mexe mɔ na dɔmeɖui: Ƒo nuɖuɖu siwo me fibre sɔ gbɔ ɖo (amagbewo, atikutsetsewo, kple mɔli) geɖe. No tsi geɖe le ŋkekea me katã.
• Mègaɖe fu ne èle nugododeƒe yim o: Esia le vevie ŋutɔ. Teteɖeanyi ate ŋu ana kuxia nagadzɔ ake.
• Aɖuɖɔ falɛfalɛtikewo: Ne wò ɖɔkta ŋlɔe na wò la, zã wo abe alesi nègblɔe ene pɛpɛpɛ.

Ɣekaɣie nèdi be yeagakpɔ ɖɔkta ake?

Ne èkpɔ dzesi siawo le amekoko vɔ megbe la, ele be nàƒo ka na wò ɖɔkta enumake .

• Ne ʋu le dodom le ŋuwò wu alesi wòle dzɔdzɔmee.
• Ne dɔmeɖui sesẽ gadze ake.
• Ne ède dzesi dzesi siwo fia be aɖuɖɔtoea gado ɖe gota ake la .
• Ne èkpɔ dɔlékui ƒe dzesiwo, abe dzoxɔxɔ, abi, kple vuvu le amekokoa teƒe ene .

Ame geɖe hea atikewɔwɔ didi ɖe megbe le ŋukpe kple ŋukpe si wònyena ne wole nu ƒom tso nu siawo ŋu ta. Gake ɖo ŋku edzi be esia menye nane si ƒe lãme asẽ ne womewɔ atike nɛ o. Ðeko wòagblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Eyata ne dzesi siawo le ŋuwò la, nuƒoƒo na ɖɔkta vɔvɔ̃manɔmee kple atike si hiã xɔxɔ akpe ɖe ŋuwò be wò agbenɔnɔ nanyo ɖe edzi ŋutɔ.